Average Medicaid Nursing Facility Care Payments
Typical Medicaid Nursing Facility Care reimbursement across 7,188 cities
Avg. Medicaid Paid
$16.08
Price Range
$0.00 – $380.00
Total Claims
97.6M
Cities
7188
Typical Payment Range
Typical Medicaid Nursing Facility Care payments fall between $5.92 and $20.86 per claim (median: $11.60). The top 10% of payments exceed $35.86.
Based on per-provider averages across all Medicaid claims in this category.
About This Procedure
Skilled nursing facility services for patients who need 24-hour nursing care and rehabilitation services.
Why do these costs look low?
These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.
Costs by City
| City | Avg. Paid | Min / Max | Claims | Providers |
|---|---|---|---|---|
| Shermans Dale, PA | $15.19 | $12.16 – $17.69 | 1,683 | 2 |
| Shaker Hts, OH | $9.93 | $6.51 – $10.37 | 1,681 | 2 |
| Edgewood, MD | $58.40 | $13.74 – $60.55 | 1,681 | 2 |
| Burleson, TX | $8.23 | $3.80 – $54.02 | 1,679 | 5 |
| Middletown, DE | $7.56 | $0.00 – $31.57 | 1,677 | 6 |
| Summerfield, NC | $6.59 | $6.59 – $6.59 | 1,672 | 1 |
| Fairmont, MN | $66.74 | $10.35 – $135.50 | 1,664 | 3 |
| Saint Marys, OH | $10.71 | $10.71 – $10.71 | 1,664 | 1 |
| Apalachicola, FL | $5.82 | $5.82 – $5.82 | 1,664 | 1 |
| Garysburg, NC | $7.89 | $7.89 – $7.89 | 1,663 | 1 |
| Port Townsend, WA | $6.33 | $0.00 – $6.40 | 1,659 | 2 |
| Martin, SD | $32.28 | $32.28 – $32.28 | 1,659 | 1 |
| Villa Park, IL | $1.20 | $1.20 – $1.20 | 1,658 | 1 |
| North Bay Village, FL | $2.52 | $0.00 – $4.12 | 1,656 | 3 |
| North Falmouth, MA | $12.02 | $12.02 – $12.02 | 1,655 | 1 |
| Whitehall, PA | $5.86 | $5.17 – $14.72 | 1,653 | 3 |
| Florence, OR | $37.47 | $20.05 – $40.16 | 1,652 | 3 |
| Piedmont, CA | $22.05 | $22.05 – $22.05 | 1,651 | 1 |
| Fountain Run, KY | $4.77 | $4.77 – $4.77 | 1,651 | 1 |
| Wisconsin Dells, WI | $18.13 | $18.13 – $18.13 | 1,648 | 1 |
| Corning, NY | $7.91 | $6.15 – $15.42 | 1,645 | 3 |
| Berlin, MD | $5.11 | $0.00 – $58.18 | 1,644 | 6 |
| Glendive, MT | $0.03 | $0.00 – $3.58 | 1,643 | 2 |
| Riverton, IL | $12.01 | $12.01 – $12.01 | 1,643 | 1 |
| Peculiar, MO | $6.75 | $6.75 – $6.75 | 1,640 | 1 |
| Dermott, AR | $14.99 | $14.99 – $14.99 | 1,638 | 1 |
| Morristown, NY | $12.68 | $12.68 – $12.68 | 1,637 | 1 |
| Wilkes-Barre, PA | $13.12 | $13.12 – $13.12 | 1,636 | 1 |
| Milford, NH | $5.37 | $5.37 – $5.37 | 1,636 | 1 |
| York, SC | $7.01 | $3.71 – $20.12 | 1,636 | 4 |
| Mount Vernon, TX | $0.12 | $0.12 – $0.12 | 1,635 | 1 |
| Streator, IL | $8.04 | $4.20 – $9.65 | 1,635 | 4 |
| Liverpool, NY | $13.59 | $0.00 – $34.41 | 1,633 | 6 |
| Churchville, NY | $9.17 | $9.17 – $9.17 | 1,633 | 1 |
| Moss Point, MS | $6.00 | $4.32 – $13.29 | 1,632 | 2 |
| Ventnor City, NJ | $1.01 | $1.01 – $1.01 | 1,631 | 1 |
| Park Hill, OK | $8.48 | $8.48 – $8.48 | 1,631 | 1 |
| Rochester, MI | $56.40 | $49.68 – $57.74 | 1,629 | 2 |
| Zionsville, IN | $10.11 | $4.33 – $28.94 | 1,625 | 3 |
| Centerville, TN | $24.30 | $21.52 – $25.79 | 1,622 | 2 |
| Price, UT | $10.50 | $5.65 – $22.71 | 1,621 | 3 |
| Maiden Rock, WI | $37.34 | $37.34 – $37.34 | 1,621 | 1 |
| Seymour, TX | $17.47 | $17.47 – $17.47 | 1,618 | 1 |
| Old Forge, PA | $2.59 | $0.00 – $2.70 | 1,616 | 2 |
| Titusville, PA | $16.72 | $16.24 – $17.22 | 1,614 | 2 |
| Edna, TX | $28.42 | $24.19 – $28.73 | 1,610 | 2 |
| Amelia, VA | $5.19 | $5.19 – $5.19 | 1,609 | 1 |
| Fern Park, FL | $6.18 | $6.18 – $6.18 | 1,608 | 1 |
| Satsuma, AL | $0.00 | $0.00 – $0.00 | 1,607 | 1 |
| Falmouth, KY | $9.90 | $9.90 – $9.90 | 1,603 | 1 |
Cost Components
National averages for each billing code in this procedure category. Sorted by claim volume.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99309 | Nursing facility subseq mod-hi | $17.88 | 43,693,341 | 34,328 |
| 99308 | Nursing facility subseq mod | $12.62 | 42,495,079 | 33,407 |
| 99307 | Nursing facility subsequent low | $8.86 | 6,770,015 | 11,425 |
| 99310 | Nursing facility subseq high | $31.06 | 4,780,807 | 10,125 |
| 99306 | Nursing facility initial high | $40.91 | 1,364,289 | 6,538 |
| 99305 | Nursing facility initial mod | $25.42 | 1,050,487 | 5,595 |
| 99304 | Nursing facility initial compl | $28.74 | 440,459 | 2,566 |
| 99318 | Nursing facility annual assess | $43.42 | 99,072 | 1,360 |
| 99316 | Nursing facility discharge >30 | $36.42 | 66,463 | 505 |
| 99315 | Nursing facility discharge 30m | $32.35 | 39,754 | 273 |
These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.